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All Journal Sari Pediatri Paediatrica Indonesiana Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Yoga Devaera, Yoga
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Health Professions Medicine & Pharmacology

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Effects of the COVID-19 pandemic on emotional and behavioral problems and sleep problems in adolescents Medise, Bernie Endyarni; Reza, Maulana Okta; Devaera, Yoga; Soebadi, Amanda; Chozie, Novie Amelia; Pudjiadi, Antonius H
Paediatrica Indonesiana Vol. 63 No. 5 (2023): September 2023
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi63.5.2023.383-8

Abstract

Background The asynchrony rapid phase of cognitive, physical and emotional development occurring in adolescence may result in various issues such as risk-taking behavior, psychosocial and emotional problems. School closure during the COVID-19 pandemic has caused a tremendous change in adolescent lifestyle and habits, including sleep patterns. causing added challenges to adolescents’ emotional and behavioral problems. Objective To identify the association between sleep disorders with emotional and behavioral problems during the COVID-19 pandemic in urban and rural adolescents. Methods We conducted a cross-sectional study among adolescents aged 12-18 years from November to December 2021 in two provinces, DKI Jakarta and Riau Islands. We recruited students consecutively from randomly selected junior and senior high schools. We used the Strengths and Difficulties Questionnaire (SDQ) and the Pittsburgh Sleep Quality Index (PSQI) to screen for emotional and behavioral problems and for sleep disorders, respectively. The questionnaires were sent electronically to each subject after obtaining parental consent. Results There were 400 subjects included in our study, of which 64% were female. The prevalences of COVID-19 amongst subjects in urban and rural areas were COVID-19 12.5% and 5.5%, respectively. Emotional and behavioral disorders as well as sleep disorders were more common in rural than urban areas (13 vs. 11.5% and 50.5% vs. 38%; P=0.012, respectively). Sleep disorders were associated with the SDQ subscales of emotional symptoms [PR 4.88 (95%CI 2.97 to 8.03); P<0.01), conduct problems [PR 3.71 (95%CI 1.53 to 9.04); P=0.02), hyperactivity/inattention [PR 6.05 (95%CI 2.58 to 16.17); P<0.01], and peer relationship problems [PR 3.28 (95%CI 1.33 to 8.09); P<0.01). Conclusion Sleep disorders among adolescents during COVID-19 pandemic were associated with emotional and behavioral problems. Adolescents who live in rural areas were more likely to have sleep disorders, emotional and behavioral problems.
The Role of Green Banana in The Dietary Management of Children with Diarrhea: A Systematic Review and Meta Analysis Ghitha, Nida; Larasati, Anjani; Satari, Heidi; Indira, Fiona Maharani; Devaera, Yoga; Gayatri, Pramita
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 4 No. 3 (2025): APGHN Vol. 4 No. 3 August 2025
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.4.3.2025.98-110

Abstract

Background: Diarrheal disease is a leading cause of morbidity and mortality among children under five, particularly in developing countries. Green bananas have shown therapeutic potential in managing pediatric diarrhea. This systematic review and meta-analysis compared the effectiveness of green banana supplementation versus non-green banana dietary management in children with diarrhea, alongside the use of ORS (oral rehydration solution) and Zinc. Outcomes assessed were recovery days, dehydration status, and progression to persistent diarrhea. Methods: A systematic search was conducted across PubMed, Cochrane, Scopus, and ProQuest databases, following the PRISMA guidelines. Qualitative analysis was assessed using the RoB 2.0. Quantitative analysis was performed using RevMan 5.4 with forest plot visualization. Result: From 57 identified studies, eight were included for review (seven randomized controlled trials and one pilot study). Among 1,486 children receiving green bananas, 1,370 recovered from diarrhea within seven days. Meta analysis showed significantly improved diarrheal recovery with green banana on day 3 (OR 3.41, 95% CI: 2.93-3.98, P<0.00001), day 5 (OR 3.48, 95% CI: 2.15-5.62, P<0.00001), and day 7 (OR 2.86, 95% CI: 2.14-3.82, P<0.00001). Green banana supplementation also showed less frequent dehydration (OR 0.38, 95% CI: 0.16-0.92, P=0.03) and reduced the progression to persistent diarrhea (OR 0.29, 95% CI: 0.21-0.39, P<0.00001). Conclusion: Green banana with high pectin and amylose-resistant starch (ARS), is an effective dietary adjunct in the management of pediatric diarrhea, in terms of improving recovery, reducing dehydration, and preventing prolonged diarrhea in children due to their antimicrobial and anti-inflammatory compounds.
Peran Measles-Containing-Vaccine dalam Pencegahan Coronavirus Disease 2019 (COVID-19) Tatiana, Diandra; Utami, Felicitas Anindya; Devaera, Yoga
Sari Pediatri Vol 26, No 4 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.4.2024.249-56

Abstract

Latar belakang. Saat ini, penyebaran virus Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) atau Novel Coronavirus masih terus berkembang. Novel alphacoronavirus dan paramyxoviruses (keluarga campak) memiliki strain virus yang mirip. Selain itu, terdapat homologi urutan asam amino antara virus COVID-19 dan virus rubella yang dapat memunculkan reaktivitas imun silang. Hingga saat ini, belum ada vaksin COVID-19 yang dapat diberikan kepada anak di bawah 12 tahun. Pertanyaan yang muncul adalah apakah pemberian vaksin Measles-Containing-Vaccine (MCV) memiliki peran dalam pencegahan COVID-19 jika dibandingkan dengan vaksinasi virus hidup lainnya.Tujuan. Mengetahui peran vaksin MCV pada anak terhadap mortalitas dan morbiditas COVID-19.Metode. Penelusuran pustaka dilakukan melalui database elektronik, yaitu Pubmed, Cochrane, dan Google Scholar dengan kata kunci “MCV vaccine” AND “COVID-19 children” AND “mortality” AND “morbidity”.Hasil. Dari penelusuran literatur, diperoleh 3 artikel yang terpilih dan kemudian dilakukan telaah kritis. Pemberian vaksin MMR (RR= 0.56; p=0,0032) berhubungan dengan tingkat infeksi yang lebih rendah. Sedangkan vaksin MCV menunjukkan 87,5% (OR=0,125, 95% CI) berhubungan dengan gejala ringan (p<0,0001). Vaksin MCV berpengaruh terhadap mortalitas dan morbiditas infeksi COVID-19, karena sekuens glikoprotein virus SARS-CoV-2 dan virus dalam MCV memiliki kemiripan.Kesimpulan. Vaksin MCV berperan dalam mengurangi infeksi COVID-19 secara langsung. Pemberian vaksin MCV menurunkan angka kematian COVID-19, tingkat infeksi, dan severitas manifestasi infeksi COVID-19.
Co-Authors Antonius H Pudjiadi, Antonius H Bernie Endyarni Medise Ghitha, Nida Indira, Fiona Maharani Larasati, Anjani Novie Amelia Chozie Pramita Gayatri, Pramita Reza, Maulana Okta Satari, Heidi Soebadi, Amanda Tatiana, Diandra Utami, Felicitas Anindya